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Enhancing Knowledge Flow in a Health Care Context: A Mobile Computing Approach

机译:在医疗保健环境中增强知识流:一种移动计算方法

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Background Advances in mobile computing and wireless communication have allowed people to interact and exchange knowledge almost anywhere. These technologies support Medicine 2.0, where the health knowledge flows among all involved people (eg, patients, caregivers, doctors, and patients’ relatives). Objective Our paper proposes a knowledge-sharing environment that takes advantage of mobile computing and contextual information to support knowledge sharing among participants within a health care community (ie, from patients to health professionals). This software environment enables knowledge exchange using peer-to-peer (P2P) mobile networks based on users’ profiles, and it facilitates face-to-face interactions among people with similar health interests, needs, or goals. Methods First, we reviewed and analyzed relevant scientific articles and software apps to determine the current state of knowledge flow within health care. Although no proposal was capable of addressing every aspect in the Medicine 2.0 paradigm, a list of requirements was compiled. Using this requirement list and our previous works, a knowledge-sharing environment was created integrating Mobile Exchange of Knowledge (MEK) and the Easy to Deploy Indoor Positioning System (EDIPS), and a twofold qualitative evaluation was performed. Second, we analyzed the efficiency and reliability of the knowledge that the integrated MEK-EDIPS tool provided to users according to their interest topics, and then performed a proof of concept with health professionals to determine the feasibility and usefulness of using this solution in a real-world scenario. Results . Using MEK, we reached 100% precision and 80% recall in the exchange of files within the peer-to-peer network. The mechanism that facilitated face-to-face interactions was evaluated by the difference between the location indicated by the EDIPS tool and the actual location of the people involved in the knowledge exchange. The average distance error was <6.28 m for an indoor environment. The usability and usefulness of this tool was assessed by questioning a sample of 18 health professionals: 94% (17/18) agreed the integrated MEK-EDIPS tool provides greater interaction among all the participants (eg, patients, caregivers, doctors, and patients’ relatives), most considered it extremely important in the health scenario, 72% (13/18) believed it could increase the knowledge flow in a health environment, and 67% (12/18) recommend it or would like to recommend its use. Conclusions The integrated MEK-EDIPS tool can provide more services than any other software tool analyzed in this paper. The proposed integrated MEK-EDIPS tool seems to be the best alternative for supporting health knowledge flow within the Medicine 2.0 paradigm.
机译:背景技术移动计算和无线通信的进步使人们几乎可以在任何地方进行交互和交换知识。这些技术支持Medicine 2.0,在该医学知识中,健康知识在所有相关人员(例如患者,护理人员,医生和患者的亲戚)中传播。目的本文提出了一种知识共享环境,该环境利用移动计算和上下文信息来支持医疗保健社区内的参与者(即,从患者到医疗专业人员)之间的知识共享。该软件环境支持使用基于用户个人资料的点对点(P2P)移动网络进行知识交换,并促进具有相似健康兴趣,需求或目标的人们之间的面对面交互。方法首先,我们回顾并分析了相关的科学文章和软件应用程序,以确定医疗保健领域知识流的当前状态。尽管没有提议能够解决医学2.0范式的每个方面,但仍列出了要求列表。使用此需求列表和我们以前的工作,创建了一个知识共享环境,将移动知识交换(MEK)和易于部署的室内定位系统(EDIPS)集成在一起,并进行了两次定性评估。其次,我们分析了集成式MEK-EDIPS工具根据用户的兴趣主题提供给用户的知识的效率和可靠性,然后与卫生专业人员进行了概念验证,以确定在实际环境中使用该解决方案的可行性和有用性世界场景。结果。使用MEK,我们在对等网络中交换文件时达到了100%的精度和80%的召回率。通过EDIPS工具指示的位置与参与知识交流的人员的实际位置之间的差异来评估促进面对面互动的机制。在室内环境下,平均距离误差<6.28 m。通过询问18位卫生专业人员的样本来评估此工具的可用性和实用性:94%(17/18)同意,集成的MEK-EDIPS工具可在所有参与者(例如患者,护理人员,医生和患者)之间提供更大的互动(亲戚),大多数人认为这对健康状况极为重要,有72%(13/18)认为它可以增加健康环境中的知识流,而67%(12/18)则建议或希望使用它。结论集成的MEK-EDIPS工具可以提供比本文分析的任何其他软件工具更多的服务。提议的集成MEK-EDIPS工具似乎是在Medicine 2.0范式中支持健康知识流的最佳替代方法。

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